Individual provider · Type 1 NPI

Roman Smith

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1619851862 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 855-6111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619851862

Roman Smith's National Provider Identifier is 1619851862, issued on Aug 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Aug 1, 2025.